Abdominal paracentesis Procedure Purposes Complications Nursing care

ABDOMINAL PARACENTESIS, Purposes of  Abdomnal paracentesis 

 General rules for ABDOMINAL PARACENTESIS

The procedure, Preparation of articles, Nurses responsibility in the administration of ABDOMINAL PARACENTESIS Procedure
Signs and symptoms of adverse affect all information about ABDOMINAL PARACENTESIS Procedure, Detailed mentioned Below

ABDOMINAL PARACENTESIS PROCEDURE DEFINITION:-

Introducing needle into an abdominal cavity to collect the fluid
Or
Puncturing of the peritoneal (abdominal) cavity in order to remove of fluid(ascites)

Abdominal Paracentesis Purpose:-

  •  For relieving pressure in the peritoneal cavity,
  •  For drainage fluid from the abdominal cavity in Ascites condition.
  •  For pressure relieving on the organs of the chest and abdomen,
  •  Cirrhosis of liver with Ascites,
  •  For lab diagnosis (Histopathology e.g, cancer, Biochemistry values e.g. Albumin),

Equipment:-

  • Sterile tray
  •  Pigtail catheter,
  •  Sterile trocar and cannulla,
  •  Syringe 10ml,
  •  Needle Gauze No: 18,
  •  Three-way cannula,
  •  I.v. set,
  •  Sterile Test tube with a sealed container for lab diagnosis,
  •  Pint Jug (500ml),
  •  Vacuumed Collecting bottle or jar,
  •  Mackintosh and towel,
  •  Two sterile towels,
  •  Abdominal binder,

Surgical dressing set:-

  •  Spirit,
  •  Savlon,
  •  Betadine,
  •  Gauze pieces,
  •  Gauze pads,
  •  Transfer forceps,
  •  Cotton balls,
  •  Artery forceps,

Abdominal Paracentesis Procedure and Nursing management:-

  •  Check for the physician’s order,
  •  Explain to the procedure to the patient and patient relatives what to be going to done,
  • Take written consent from the patient and patient relatives,
  • Shave and Skin preparation should be done,
  • Record the patient vital e,g. Temperature,B.P,pulse,Spo2,
  •  Provide privacy,
  •  Maintain I. V, line, if any emergency to give fluids and medications,
  •  Paint abdomen with Betadine,
  •  Assist to Doctor, giving needed articles, such as cotton swabs, sterile towels, etc…
  •  The needle should be inserted z-track technique,
  •  Monitor patient during the procedure,
  •  Observe for fluid color,
  •  Measure fluid quantity,
  •  Send test tube for diagnostic tests,
  •  After finishing the procedure, seal the punctured wound with sterile dressing,
  •  Fasten the abdominal binder tightly, from the top to bottom,

After care of the patient:-

  •  Provide any hot tea if indicated,
  • Monitor patient vitals continuously,
  • monitor input and out put chart,
  • Watch for any reaction for 24 hours,

Abdomin Paracentesis Complications:-

  •  Hypo-tension,
  •  Heart failure,
  • •Internal bleeding,
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5 thoughts on “Abdominal paracentesis Procedure Purposes Complications Nursing care”

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